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My bladder, my life

Bladder management

  • Bladder types
  • Starting with catheters
  • Problems
  • Life hacks
  • Inside the bladder
  • Equipment
Problems
  • Working out what's wrong
    • I normally perform intermittent catheters and have recently started leaking in between
    • I have a suprapubic catheter and have recently started leaking out my penis or urethra
    • I’ve had lots of UTIs lately and they seem to keep coming back after I finish my antibiotics
    • I’m having trouble passing my catheter
  • Other problems
    • Watching your fluids
    • How to avoid a urinary tract infection (UTI)
    • Autonomic dysreflexia
    • Bladder and kidney stones
    • Prostatitis
    • Leaking
    • Bleeding
    • Vesicoureteral reflux
    • Hydronephrosis
    • Stricture
    • False passage
    • Catheter blockages
    • Bladder washout

    Bladder washout

    A bladder washout (also known as bladder irrigation) is a procedure that allows you to “flush” your bladder with clean water in order to clear a blocked catheter. The procedure can be performed on yourself if you are able, or by another person; the preparation and procedure are the same.

    If you experience any pain during this procedure you should stop immediately and seek medical assistance.

    If you are unable to clear your catheter after performing this procedure it is recommended that you change your catheter as there is a risk of introducing bacteria into your bladder.

    Equipment required

    • Clean/Sterile water (boiled water that has been allowed to cool to room temperature)
    • 50mL catheter syringe
    • Alcohol/antiseptic wipes
    • Soap and water/hand sanitiser
    • clean container (bowl/jug)
    • Bluey/clean towel.

    Procedure

    1. Wash/sanitise hands
    2. Pour approximately 100mL of clean water into one of the containers
    3. Draw approximately 50mL of water into syringe and place on a clean surface
    4. Place bluey/towel under the connection between your catheter and drainage bag
    5. Use alcohol swab/antiseptic wipe to clean the connection between catheter and drainage bag (ensure to clean several centimetres above and below the connection)
    6. Disconnect drainage bag from catheter
      • Make sure the tip of the tubing doesn’t touch anything while it is disconnected (you may wish to use a new drainage bag
    7. Insert the syringe tip into the catheter and gently inject the water
      • If you feel resistance then it is best to change your catheter
    8. Remove the catheter tip and connect the drainage bag
      • You should expect to see urine flowing into the bag
      • If there is no urine flow after the washout then it is best to change your catheter.

    After procedure

    • Keep a close eye on your urine drainage and change your catheter if it becomes blocked again
    • Increase the amount of fluids you drink to help flush out your bladder
    • If you are having frequent blockages, speak to your doctor or urology nurse as you may need to review your bladder management and/or catheter change schedule.

    Catheter blockages
    Life hacks

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    Quick links

    • Bladder types
    • Starting with catheters
    • Problems
    • Life hacks
    • Inside the bladder
    • Equipment

    About this resource

    This web resource is part of a research project to improve bladder management at the Austin, by increasing the use of intermittent catheterisation.

    The research project is funded by TAC.

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    This research project is brought to you by

    Austin Health
    TAC
    ISCRR
    WorkSafe

    Contacts

    Austin Health
    03 9496 5000
    Victorian Spinal Cord Service
    03 9496 5220
    Spinal Urology Nurse
    03 9496 5904
    spinalurologynurse@austin.org.au
    VSCS outpatient Nurse
    03 9496 5176
    vscsoutpatients@austin.org.au

    Disclaimer

    This information has been developed for Austin Health use and has been specifically designed for Austin Health. This information is intended to support, not replace, discussion with your doctor or healthcare professionals. The authors have made a considerable effort to ensure the information is accurate, up to date and easy to understand. Austin Health accepts no responsibility for any inaccuracies, information perceived as misleading, or the success of any treatment regimen detailed on this website. Written information should only be used in conjunction with advice from the health professional who is looking after you.

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